Comparative study of efficacy of intense pulsed light versus Intralesional triamcinolone in the treatment of hypertrophic scars and keloids

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Original Article

Author Details : Shilpa Haibatti Pathrikar, Bhargav Naik*, Anuj Bhatt, Trish Larissa Miranda, Hiteshi Kamboj

Volume : 10, Issue : 4, Year : 2024

Article Page : 448-453

https://doi.org/10.18231/j.ijced.2024.078

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Abstract

Introduction:  Keloids and hypertrophic scars are hyperproliferative response of dermal connective tissue to trauma. Their management remains a challenge for practitioners as there is still no universally accepted treatment, leading to recurrences which are frustrating for patients and clinicians alike. Hence, it becomes essential to determine a modality with highest efficacy, least recurrence and better patient compliance.
Objectives:  To compare the therapeutic effectiveness of Intralesional triamcinolone acetonide versus Intense pulsed light for treatment of keloids and hypertrophic scars.
Materials and Methods:  A single centre, cross-sectional study was conducted on 60 patients. Patients were randomly allocated in two groups, group one received Intralesional steroids ( ILS)-triamcinolone acetonide and group two was treated by Intense pulsed light(IPL).Both groups were accessed for improvement every 15 days until 5 sessions were complete.
Results:  Both study groups showed significant changes after treatment. Patients treated with ILS showed greater reduction in height. IPL group showed significant reduction in vascularity . Pigmentary outcomes were more favourable with IPL, whereas with ILS hypopigmentation was noted as a common side effect. Both groups showed significant reduction in pliability.
Conclusion:  Both regimens showed excellent responses with minimum recurrence rates, indicating their high efficacy in management of keloids and hypertrophic scars.
 

Keywords: Neurology, Relative growth rate, Doubling time and degree of collaboration, Author productivity

How to cite : Pathrikar S H, Naik B, Bhatt A, Miranda T L, Kamboj H, Comparative study of efficacy of intense pulsed light versus Intralesional triamcinolone in the treatment of hypertrophic scars and keloids. IP Indian J Clin Exp Dermatol 2024;10(4):448-453

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